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1295205862
KIMBERLY ELLISON
COSTA MESA, CA
NPI
1295205862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-11-27
Last Update Date
2018-11-27
Business Address
KIMBERLY ELLISON
1111 BAKER ST.
COSTA MESA, CA 92626
Phone number: 818-241-6780
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Mailing Address
KIMBERLY ELLISON
206 N. JACKSON ST. SUITE 202
GLENDALE, CA 91206
Phone number: 818-241-6780
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